--- title: "How Many Rehab Centers Are in the US? 50+ Rehab Industry Stats (2026)" date: 2026-10-26 author: "Matthew Travers" featured_image: "https://leadtorecovery.com/wp-content/uploads/us-rehab-center-industry-statistics-hero.webp" --- # How Many Rehab Centers Are in the US? 50+ Rehab Industry Stats (2026) By [Matthew Travers](https://leadtorecovery.com/our-staff/matthew-travers/), Co-Founder and President, Lead to Recovery. Published October 26, 2026. Every figure links to its primary source. ![Illustration of connected outpatient, residential, and hospital treatment buildings with a rising trend line, in blue and grey.](https://leadtorecovery.com/wp-content/uploads/us-rehab-center-industry-statistics-hero.webp "us-rehab-center-industry-statistics-hero") SAMHSA’s National Substance Use and Mental Health Services Survey found [**17,829**](https://www.samhsa.gov/data/sites/default/files/reports/rpt56696/2024-nsumhss-annual-report.pdf) substance use treatment facilities eligible to respond, [**15,953**](https://www.samhsa.gov/data/sites/default/files/reports/rpt56696/2024-nsumhss-annual-report.pdf) responded and are included in the data set. This number isn’t as clear cut as it seems. SAMHSA has a higher number of facilities, but many of those facilities have closed, don’t meet the criteria, or only offer mental health treatment. We’ll break down all the numbers and include sources for each. From facility counts, ownership, types of care, addiction treatment medications, forms of payment, how many need treatment, counselor workforce, to overdose deaths. [![Infographic summarizing key U.S. substance use treatment statistics: facility counts, ownership, levels of care, medication access in 2021 and 2024, payment types, treatment demand, overdose deaths, and the counselor workforce.](https://leadtorecovery.com/wp-content/uploads/us-rehab-center-industry-statistics-infographic.webp "1")](https://leadtorecovery.com/wp-content/uploads/us-rehab-center-industry-statistics-infographic.webp "us-rehab-center-industry-statistics-infographic") ## Top Picks **Facilities** - **Substance use treatment facilities:** [**17,829**](https://www.samhsa.gov/data/sites/default/files/reports/rpt56696/2024-nsumhss-annual-report.pdf) eligible to respond to SAMHSA’s latest survey - **Included in data set:** [**15,953**](https://www.samhsa.gov/data/sites/default/files/reports/rpt56696/2024-nsumhss-annual-report.pdf) substance use treatment facilities that responded - **Private facilities:** [**90.3%**](https://www.samhsa.gov/data/sites/default/files/reports/rpt56696/2024-nsumhss-annual-report.pdf) of substance use treatment facilities - **For profit facilities:** [**42.1%**](https://www.samhsa.gov/data/sites/default/files/reports/rpt56696/2024-nsumhss-annual-report.pdf) of substance use treatment facilities - **Offer outpatient:** [**83.8%**](https://www.samhsa.gov/data/sites/default/files/reports/rpt56696/2024-nsumhss-annual-report.pdf) of substance use treatment facilities - **Offer residential:** [**22.5%**](https://www.samhsa.gov/data/sites/default/files/reports/rpt56696/2024-nsumhss-annual-report.pdf) of substance use treatment facilities **Treatment Medications & Payments** - **Facilities that offer medications for opioid use disorder:** [**61.7%**](https://www.samhsa.gov/data/sites/default/files/reports/rpt56696/2024-nsumhss-annual-report.pdf) increased from [**55.3%**](https://www.samhsa.gov/data/sites/default/files/reports/rpt56696/2024-nsumhss-annual-report.pdf) in the 2021 survey - **Take Medicaid:** [**77.8%**](https://www.samhsa.gov/data/sites/default/files/reports/rpt56696/2024-nsumhss-annual-report.pdf) of substance use treatment facilities - **Take private insurance:** [**78.3%**](https://www.samhsa.gov/data/sites/default/files/reports/rpt56696/2024-nsumhss-annual-report.pdf) of substance use treatment facilities **Need For Treatment** - **Americans with a substance use disorder:** [**44.6 Million**](https://www.samhsa.gov/data/sites/default/files/NSDUH-2025-Annual-Release/2025-nsduh-nnr-highlights.pdf) age 12+ - **Received treatment:** [**16.0%**](https://www.samhsa.gov/data/sites/default/files/NSDUH-2025-Annual-Release/2025-nsduh-nnr-highlights.pdf) of people that need treatment, [**7.6 Million**](https://www.samhsa.gov/data/sites/default/files/NSDUH-2025-Annual-Release/2025-nsduh-nnr-highlights.pdf) people - **Predicted overdose deaths, latest 12 months:** [**67,798**](https://www.cdc.gov/media/releases/2026/cdc-launches-new-overdose-prevention-data-channel.html) decreasing by [**12.3%**](https://www.cdc.gov/media/releases/2026/cdc-launches-new-overdose-prevention-data-channel.html) **Counselor Workforce** - **Employment of addiction and mental health counselors:** [**533,400**](https://www.bls.gov/ooh/community-and-social-service/substance-abuse-behavioral-disorder-and-mental-health-counselors.htm) - **Median salary for counselors:** [**$59,350**](https://www.bls.gov/ooh/community-and-social-service/substance-abuse-behavioral-disorder-and-mental-health-counselors.htm) per year - **Job growth forecast:** [**18%**](https://www.bls.gov/ooh/community-and-social-service/substance-abuse-behavioral-disorder-and-mental-health-counselors.htm) over the next 10 years ## How Many Rehab Centers Are There in the US? There are [**17,829**](https://www.samhsa.gov/data/sites/default/files/reports/rpt56696/2024-nsumhss-annual-report.pdf) substance use treatment facilities eligible to respond to SAMHSA’s survey and [**15,953**](https://www.samhsa.gov/data/sites/default/files/reports/rpt56696/2024-nsumhss-annual-report.pdf) that did. There are a few ways to interpret how many rehab centers are in the US: Rehab Center TypeNumberDescriptionSource (Date)Total Facilities Known By SAMHSA (Substance Use and Mental Health)[27,957](https://www.samhsa.gov/data/sites/default/files/reports/rpt56696/2024-nsumhss-annual-report.pdf)All facilities SAMHSA is aware ofSAMHSA N-SUMHSS Annual Report (2024 Data)Facilities Closed or Not Eligible[4,009](https://www.samhsa.gov/data/sites/default/files/reports/rpt56696/2024-nsumhss-annual-report.pdf)Did not qualify for surveySAMHSA N-SUMHSS Annual Report (2024 Data)Eligible Facilities (All)[23,948](https://www.samhsa.gov/data/sites/default/files/reports/rpt56696/2024-nsumhss-annual-report.pdf)Substance use treatment and mental healthSAMHSA N-SUMHSS Annual Report (2024 Data)Eligible Substance Use Treatment Facilities[17,829](https://www.samhsa.gov/data/sites/default/files/reports/rpt56696/2024-nsumhss-annual-report.pdf)Best answer for number of rehab centers in USSAMHSA N-SUMHSS Annual Report (2024 Data)Substance Use Facilities Included In Data Set[15,953](https://www.samhsa.gov/data/sites/default/files/reports/rpt56696/2024-nsumhss-annual-report.pdf)Facilities that responded to surveySAMHSA N-SUMHSS Annual Report (2024 Data)Facilities That Only Offer Substance Use Treatment[7,114](https://www.samhsa.gov/data/sites/default/files/reports/rpt56695/2024-N-SUMHSS-Companion-Report.pdf)No Mental Health treatmentSAMHSA N-SUMHSS Companion Report (2024 Data)Facilities That Offer Substance Use & Mental Health[8,839](https://www.samhsa.gov/data/sites/default/files/reports/rpt56696/2024-nsumhss-annual-report.pdf)Included in both countsSAMHSA N-SUMHSS Annual Report (2024 Data) You should use the number of eligible substance use facilities when stating how many rehab centers are in the US. Many facilities offer mental health treatment in addition to substance use treatment: - **Total facilities that responded:** [**21,205**](https://www.samhsa.gov/data/sites/default/files/reports/rpt56696/2024-nsumhss-annual-report.pdf) - **Facilities that offer mental health treatment:** [**14,091**](https://www.samhsa.gov/data/sites/default/files/reports/rpt56696/2024-nsumhss-annual-report.pdf) - **Facilities that offer substance use & mental health:** [**8,839**](https://www.samhsa.gov/data/sites/default/files/reports/rpt56696/2024-nsumhss-annual-report.pdf) - **Survey response rate:** [**90.4%**](https://www.samhsa.gov/data/sites/default/files/reports/rpt56696/2024-nsumhss-annual-report.pdf) Keep in mind this is a voluntary survey, it lists facilities not businesses or beds. When using these numbers, always state how many eligible substance use treatment facilities there are when referring to rehab centers, along with the date of the survey. ## Who Runs Rehab Centers in the US? Private facilities account for [**90.3%**](https://www.samhsa.gov/data/sites/default/files/reports/rpt56696/2024-nsumhss-annual-report.pdf) of rehab centers in the US according to SAMHSA’s most recent facility survey. Almost half of these facilities are run by non-profit organizations and for-profit organizations make up most of the rest. Type Of OperatorPercentage of Substance Use FacilitiesNumber Of FacilitiesSource (Date)Non-Profit[48.2%](https://www.samhsa.gov/data/sites/default/files/reports/rpt56696/2024-nsumhss-annual-report.pdf)[7,697](https://www.samhsa.gov/data/sites/default/files/reports/rpt56696/2024-nsumhss-annual-report.pdf)SAMHSA N-SUMHSS (2024 Data)For Profit[42.1%](https://www.samhsa.gov/data/sites/default/files/reports/rpt56696/2024-nsumhss-annual-report.pdf)[6,724](https://www.samhsa.gov/data/sites/default/files/reports/rpt56696/2024-nsumhss-annual-report.pdf)SAMHSA N-SUMHSS (2024 Data)Local, County, Community[4.1%](https://www.samhsa.gov/data/sites/default/files/reports/rpt56696/2024-nsumhss-annual-report.pdf)[655](https://www.samhsa.gov/data/sites/default/files/reports/rpt56696/2024-nsumhss-annual-report.pdf)SAMHSA N-SUMHSS (2024 Data)Federal Government[2.3%](https://www.samhsa.gov/data/sites/default/files/reports/rpt56696/2024-nsumhss-annual-report.pdf)[359](https://www.samhsa.gov/data/sites/default/files/reports/rpt56696/2024-nsumhss-annual-report.pdf)SAMHSA N-SUMHSS (2024 Data)State Government[2.1%](https://www.samhsa.gov/data/sites/default/files/reports/rpt56696/2024-nsumhss-annual-report.pdf)[331](https://www.samhsa.gov/data/sites/default/files/reports/rpt56696/2024-nsumhss-annual-report.pdf)SAMHSA N-SUMHSS (2024 Data)Tribal[1.1%](https://www.samhsa.gov/data/sites/default/files/reports/rpt56696/2024-nsumhss-annual-report.pdf)[176](https://www.samhsa.gov/data/sites/default/files/reports/rpt56696/2024-nsumhss-annual-report.pdf)SAMHSA N-SUMHSS (2024 Data) Less than 1 in 10 rehab centers are operated by a government agency. For-profit facilities have been growing over the past few years, they accounted for [**41.3%**](https://www.samhsa.gov/data/sites/default/files/reports/rpt56696/2024-nsumhss-annual-report.pdf) of facilities in the 2021 survey and non-profits made up [**49.5%**](https://www.samhsa.gov/data/sites/default/files/reports/rpt56696/2024-nsumhss-annual-report.pdf). [![Horizontal bar chart showing the share of U.S. substance use treatment facilities by operator type, led by private non-profit at 48.2 percent and private for-profit at 42.1 percent.](https://leadtorecovery.com/wp-content/uploads/us-rehab-facilities-by-operator-type.webp "2")](https://leadtorecovery.com/wp-content/uploads/us-rehab-facilities-by-operator-type.webp "us-rehab-facilities-by-operator-type") ## Types of Rehab Centers in the US [**83.8%**](https://www.samhsa.gov/data/sites/default/files/reports/rpt56696/2024-nsumhss-annual-report.pdf) of rehab centers offer outpatient treatment in the US, [**22.5%**](https://www.samhsa.gov/data/sites/default/files/reports/rpt56696/2024-nsumhss-annual-report.pdf) offer residential treatment, according to SAMHSA. Facilities can offer multiple types of care, percentages will not equal 100%. Types of CareSubstance Use Treatment FacilitiesMental Health Treatment FacilitiesSubstance Use & Mental HealthSource (Date)Outpatient[83.8%](https://www.samhsa.gov/data/sites/default/files/reports/rpt56696/2024-nsumhss-annual-report.pdf) (13,369)[85.3%](https://www.samhsa.gov/data/sites/default/files/reports/rpt56696/2024-nsumhss-annual-report.pdf)[91.5%](https://www.samhsa.gov/data/sites/default/files/reports/rpt56696/2024-nsumhss-annual-report.pdf)SAMHSA N-SUMHSS (2024 Data)Residential (not hospital)[22.5%](https://www.samhsa.gov/data/sites/default/files/reports/rpt56696/2024-nsumhss-annual-report.pdf) (3,596)[17.5%](https://www.samhsa.gov/data/sites/default/files/reports/rpt56696/2024-nsumhss-annual-report.pdf)[18.5%](https://www.samhsa.gov/data/sites/default/files/reports/rpt56696/2024-nsumhss-annual-report.pdf)SAMHSA N-SUMHSS (2024 Data)Hospital Inpatient[7.5%](https://www.samhsa.gov/data/sites/default/files/reports/rpt56696/2024-nsumhss-annual-report.pdf) (1,201)[9.1%](https://www.samhsa.gov/data/sites/default/files/reports/rpt56696/2024-nsumhss-annual-report.pdf)[8.9%](https://www.samhsa.gov/data/sites/default/files/reports/rpt56696/2024-nsumhss-annual-report.pdf)SAMHSA N-SUMHSS (2024 Data) Most rehab centers in the US are outpatient facilities, residential rehab centers make up less than 1 in 4 facilities. When people think of rehab, they typically imagine staying at a residential facility, but only a small percentage of rehab centers offer this type of treatment. **Most rehab centers in the US offer outpatient treatment.** [![Grouped bar chart comparing the share of substance use and mental health treatment facilities offering outpatient, residential, and hospital inpatient care.](https://leadtorecovery.com/wp-content/uploads/us-rehab-facilities-by-type-of-care.webp "3")](https://leadtorecovery.com/wp-content/uploads/us-rehab-facilities-by-type-of-care.webp "us-rehab-facilities-by-type-of-care") ## Do Rehab Centers Offer Treatment Medications? [**61.7%**](https://www.samhsa.gov/data/sites/default/files/reports/rpt56696/2024-nsumhss-annual-report.pdf) of rehab centers offer treatment medications for Opioid Use Disorder, that number has increased from [**55.3%**](https://www.samhsa.gov/data/sites/default/files/reports/rpt56696/2024-nsumhss-annual-report.pdf) in the 2021 survey, according to SAMHSA. Medications used to treat opioid use disorder include Methadone, Buprenorphine, and Naltrexone (Injection). Medications used to treat alcohol use disorder include Disulfiram, Naltrexone, and Acamprosate. All types of medication saw an increase over the past 4 survey years: Treatment Medication2021 SurveyMost Recent YearSource (Date)Offer Any Treatment Medication[69.5%](https://www.samhsa.gov/data/sites/default/files/reports/rpt56696/2024-nsumhss-annual-report.pdf)[76.5%](https://www.samhsa.gov/data/sites/default/files/reports/rpt56696/2024-nsumhss-annual-report.pdf)SAMHSA N-SUMHSS (2021 & 2024 Data)Offer Medications For Opioid Use Disorder[55.3%](https://www.samhsa.gov/data/sites/default/files/reports/rpt56696/2024-nsumhss-annual-report.pdf)[61.7%](https://www.samhsa.gov/data/sites/default/files/reports/rpt56696/2024-nsumhss-annual-report.pdf)SAMHSA N-SUMHSS (2021 & 2024 Data)Offer Medications For Alcohol Use Disorder[37.9%](https://www.samhsa.gov/data/sites/default/files/reports/rpt56696/2024-nsumhss-annual-report.pdf)[49.9%](https://www.samhsa.gov/data/sites/default/files/reports/rpt56696/2024-nsumhss-annual-report.pdf)SAMHSA N-SUMHSS (2021 & 2024 Data)Offer Tobacco Cessation Medications[40.7%](https://www.samhsa.gov/data/sites/default/files/reports/rpt56696/2024-nsumhss-annual-report.pdf)[47.8%](https://www.samhsa.gov/data/sites/default/files/reports/rpt56696/2024-nsumhss-annual-report.pdf)SAMHSA N-SUMHSS (2021 & 2024 Data) While treatment for alcohol use disorder had the biggest jump, half of facilities do not offer these medications. Additional stats about offering opioid use disorder medications: - **Opioid Treatment Programs:** [**13.9%**](https://www.samhsa.gov/data/sites/default/files/reports/rpt56696/2024-nsumhss-annual-report.pdf) of facilities, or [**2,224**](https://www.samhsa.gov/data/sites/default/files/reports/rpt56696/2024-nsumhss-annual-report.pdf) rehab centers - **Use Prescribers of Buprenorphine:** [**52.8%**](https://www.samhsa.gov/data/sites/default/files/reports/rpt56696/2024-nsumhss-annual-report.pdf) of facilities - **Can Prescribe Naltrexone:** [**48.6%**](https://www.samhsa.gov/data/sites/default/files/reports/rpt56696/2024-nsumhss-annual-report.pdf) of facilities - **Accept clients already on opioid use disorder medications:** [**60.1%**](https://www.samhsa.gov/data/sites/default/files/reports/rpt56696/2024-nsumhss-annual-report.pdf) of facilities - **Provide Overdose/Naloxone Education:** [**80.3%**](https://www.samhsa.gov/data/sites/default/files/reports/rpt56696/2024-nsumhss-annual-report.pdf) of facilities **[61.7%](https://www.samhsa.gov/data/sites/default/files/reports/rpt56696/2024-nsumhss-annual-report.pdf) of rehab centers offer medications for opioid use disorder.** [![Grouped bar chart showing the share of U.S. substance use facilities using any pharmacotherapy, opioid use disorder medications, alcohol use disorder medications, and tobacco cessation medications in 2021 and 2024.](https://leadtorecovery.com/wp-content/uploads/us-rehab-facilities-addiction-medications-2021-vs-2024.webp "4")](https://leadtorecovery.com/wp-content/uploads/us-rehab-facilities-addiction-medications-2021-vs-2024.webp "us-rehab-facilities-addiction-medications-2021-vs-2024") ## How Do Rehab Centers Get Paid? Cash or self-payment is accepted by [**89.9%**](https://www.samhsa.gov/data/sites/default/files/reports/rpt56696/2024-nsumhss-annual-report.pdf) of facilities and private insurance is accepted by [**78.3%**](https://www.samhsa.gov/data/sites/default/files/reports/rpt56696/2024-nsumhss-annual-report.pdf) according to SAMHSA. Medicare has seen the largest increase, here are all the types of payment: Forms of PaymentPrevious YearMost Recent YearSource (Date)Cash Or Self Pay[90.5%](https://www.samhsa.gov/data/sites/default/files/reports/rpt56696/2024-nsumhss-annual-report.pdf)[89.9%](https://www.samhsa.gov/data/sites/default/files/reports/rpt56696/2024-nsumhss-annual-report.pdf)SAMHSA N-SUMHSS (2021 & 2024 Data)Private Insurance[75.2%](https://www.samhsa.gov/data/sites/default/files/reports/rpt56696/2024-nsumhss-annual-report.pdf)[78.3%](https://www.samhsa.gov/data/sites/default/files/reports/rpt56696/2024-nsumhss-annual-report.pdf)SAMHSA N-SUMHSS (2021 & 2024 Data)Medicaid[73.2%](https://www.samhsa.gov/data/sites/default/files/reports/rpt56696/2024-nsumhss-annual-report.pdf)[77.8%](https://www.samhsa.gov/data/sites/default/files/reports/rpt56696/2024-nsumhss-annual-report.pdf)SAMHSA N-SUMHSS (2021 & 2024 Data)Medicare[45.2%](https://www.samhsa.gov/data/sites/default/files/reports/rpt56696/2024-nsumhss-annual-report.pdf)[52.6%](https://www.samhsa.gov/data/sites/default/files/reports/rpt56696/2024-nsumhss-annual-report.pdf)SAMHSA N-SUMHSS (2021 & 2024 Data)Other State Funded Plan[49.8%](https://www.samhsa.gov/data/sites/default/files/reports/rpt56696/2024-nsumhss-annual-report.pdf)[52.5%](https://www.samhsa.gov/data/sites/default/files/reports/rpt56696/2024-nsumhss-annual-report.pdf)SAMHSA N-SUMHSS (2021 & 2024 Data)Military Insurance From Federal Government[40.3%](https://www.samhsa.gov/data/sites/default/files/reports/rpt56696/2024-nsumhss-annual-report.pdf)[46.9%](https://www.samhsa.gov/data/sites/default/files/reports/rpt56696/2024-nsumhss-annual-report.pdf)SAMHSA N-SUMHSS (2021 & 2024 Data) Almost all rehab centers will take cash, about 1 in 5 do not accept Medicaid. Rehab Centers that take no form of payment and those that offer free treatment: - **No Form Of Payment:** [**1.6%**](https://www.samhsa.gov/data/sites/default/files/reports/rpt56696/2024-nsumhss-annual-report.pdf) of facilities, or [**253**](https://www.samhsa.gov/data/sites/default/files/reports/rpt56696/2024-nsumhss-annual-report.pdf) rehab centers - **Offer Free Or Low Cost Treatment:** [**46.3%**](https://www.samhsa.gov/data/sites/default/files/reports/rpt56696/2024-nsumhss-annual-report.pdf) of facilities **For what rehab costs by payer and level of care, see our [rehab cost study](https://leadtorecovery.com/how-much-does-rehab-cost/).** ## What Are Rehab Center Credentials and Services? [**95.8%**](https://www.samhsa.gov/data/sites/default/files/reports/rpt56696/2024-nsumhss-annual-report.pdf) of substance use treatment facilities are licensed, certified or accredited in the United States, according to SAMHSA. Some of the top credentials & services offered at these facilities: - **State substance use agency licensed:** [**69.0%**](https://www.samhsa.gov/data/sites/default/files/reports/rpt56696/2024-nsumhss-annual-report.pdf) - **CARF accredited:** [**33.9%**](https://www.samhsa.gov/data/sites/default/files/reports/rpt56696/2024-nsumhss-annual-report.pdf) - **Joint Commission accredited:** [**25.9%**](https://www.samhsa.gov/data/sites/default/files/reports/rpt56696/2024-nsumhss-annual-report.pdf) - **Special program for those with co-occurring disorders:** [**64.9%**](https://www.samhsa.gov/data/sites/default/files/reports/rpt56696/2024-nsumhss-annual-report.pdf) - **Offer suicide prevention:** [**63.5%**](https://www.samhsa.gov/data/sites/default/files/reports/rpt56696/2024-nsumhss-annual-report.pdf), previously [**46.4%**](https://www.samhsa.gov/data/sites/default/files/reports/rpt56696/2024-nsumhss-annual-report.pdf) - **Special program for Veterans:** [**36.0%**](https://www.samhsa.gov/data/sites/default/files/reports/rpt56696/2024-nsumhss-annual-report.pdf), previously [**28.7%**](https://www.samhsa.gov/data/sites/default/files/reports/rpt56696/2024-nsumhss-annual-report.pdf) ### Who Are the Special Programs For? According to SAMHSA, programs tailored to adult women are the most common, offered at [**56.5%**](https://www.samhsa.gov/data/sites/default/files/reports/rpt56696/2024-nsumhss-annual-report.pdf) of substance use treatment facilities. Offer Special Program ToPercentage of Substance Use FacilitiesSource (date)Women, Adults[56.5%](https://www.samhsa.gov/data/sites/default/files/reports/rpt56696/2024-nsumhss-annual-report.pdf)SAMHSA N-SUMHSS (2024 data)Men, Adults[56.0%](https://www.samhsa.gov/data/sites/default/files/reports/rpt56696/2024-nsumhss-annual-report.pdf)SAMHSA N-SUMHSS (2024 data)Young adults[39.7%](https://www.samhsa.gov/data/sites/default/files/reports/rpt56696/2024-nsumhss-annual-report.pdf)SAMHSA N-SUMHSS (2024 data)Seniors or older adults[36.9%](https://www.samhsa.gov/data/sites/default/files/reports/rpt56696/2024-nsumhss-annual-report.pdf)SAMHSA N-SUMHSS (2024 data)Adolescent[25.2%](https://www.samhsa.gov/data/sites/default/files/reports/rpt56696/2024-nsumhss-annual-report.pdf)SAMHSA N-SUMHSS (2024 data) Programs that offer specialized programs to adolescents are still low at only one facility in four. ## How Many People Need Rehab, and How Many Get It? There are approximately [**44.6 Million**](https://www.samhsa.gov/data/sites/default/files/NSDUH-2025-Annual-Release/2025-nsduh-nnr-highlights.pdf) Americans who have a substance use disorder in 2025, according to SAMHSA’s National Survey on Drug Use and Health. About 1 in 6 of those who needed treatment received it. Having a substance use disorder here means meeting the survey’s clinical criteria for one in the past year, not necessarily having a formal diagnosis. Someone who needs treatment could have an SUD or have received treatment in the last year. Here are some statistics that relate to rehab usage and who needs it: - **Individuals with any Substance Use Disorder:** [**44.6 Million**](https://www.samhsa.gov/data/sites/default/files/NSDUH-2025-Annual-Release/2025-nsduh-nnr-highlights.pdf), which is [**15.3%**](https://www.samhsa.gov/data/sites/default/files/NSDUH-2025-Annual-Release/2025-nsduh-nnr-highlights.pdf) of Americans aged 12 and over - **Alcohol Use Disorder:** [**25.7 Million**](https://www.samhsa.gov/data/sites/default/files/NSDUH-2025-Annual-Release/2025-nsduh-nnr-highlights.pdf) - **Drug Use Disorder:** [**26.0 Million**](https://www.samhsa.gov/data/sites/default/files/NSDUH-2025-Annual-Release/2025-nsduh-nnr-highlights.pdf) - **Have Alcohol & Drug Use Disorder:** [**7.1 Million**](https://www.samhsa.gov/data/sites/default/files/NSDUH-2025-Annual-Release/2025-nsduh-nnr-highlights.pdf) - **Received Treatment that needed it:** [**16.0%**](https://www.samhsa.gov/data/sites/default/files/NSDUH-2025-Annual-Release/2025-nsduh-nnr-highlights.pdf), which equates to [**7.6 Million**](https://www.samhsa.gov/data/sites/default/files/NSDUH-2025-Annual-Release/2025-nsduh-nnr-highlights.pdf) individuals ### Is There a Difference in Treatment by Age? Yes, according to SAMHSA, ages 18-25 had the lowest percentage of those that went to treatment, at only [**9.6%**](https://www.samhsa.gov/data/sites/default/files/NSDUH-2025-Annual-Release/2025-nsduh-nnr-highlights.pdf). Age GroupIndividuals With a Substance Use DisorderShare of Those Needing Treatment Who Received ItSource (date)Ages 12-17[7.4%](https://www.samhsa.gov/data/sites/default/files/NSDUH-2025-Annual-Release/2025-nsduh-nnr-highlights.pdf) (1,900,000)[22.8%](https://www.samhsa.gov/data/sites/default/files/NSDUH-2025-Annual-Release/2025-nsduh-nnr-highlights.pdf) (470,000)SAMHSA NSDUH (2025 data)Ages 18-25[23.8%](https://www.samhsa.gov/data/sites/default/files/NSDUH-2025-Annual-Release/2025-nsduh-nnr-highlights.pdf) (8,600,000)[9.6%](https://www.samhsa.gov/data/sites/default/files/NSDUH-2025-Annual-Release/2025-nsduh-nnr-highlights.pdf) (845,000)SAMHSA NSDUH (2025 data)Ages 26+[14.9%](https://www.samhsa.gov/data/sites/default/files/NSDUH-2025-Annual-Release/2025-nsduh-nnr-highlights.pdf) (34,100,000)[17.1%](https://www.samhsa.gov/data/sites/default/files/NSDUH-2025-Annual-Release/2025-nsduh-nnr-highlights.pdf) (6,200,000)SAMHSA NSDUH (2025 data)All Ages, 12+[15.3%](https://www.samhsa.gov/data/sites/default/files/NSDUH-2025-Annual-Release/2025-nsduh-nnr-highlights.pdf) (44,600,000)[16.0%](https://www.samhsa.gov/data/sites/default/files/NSDUH-2025-Annual-Release/2025-nsduh-nnr-highlights.pdf) (7,600,000)SAMHSA NSDUH (2025 data) You can see that the highest age range for someone to have an SUD was ages 18-25, but only 1 in 10 went to treatment. ### Why Aren’t More People Going to Treatment? Out of the [**38,100,000**](https://www.samhsa.gov/data/sites/default/files/NSDUH-2025-Annual-Release/2025-nsduh-nnr-highlights.pdf) adults who have an SUD and did not receive treatment, [**94.5%**](https://www.samhsa.gov/data/sites/default/files/NSDUH-2025-Annual-Release/2025-nsduh-nnr-highlights.pdf) either didn’t seek treatment or felt they didn’t need it, according to SAMHSA. - **Those 12+ with SUD that did not receive treatment or services:** [**86.4%**](https://www.samhsa.gov/data/sites/default/files/NSDUH-2025-Annual-Release/2025-nsduh-nnr-highlights.pdf) of those with an SUD, which equals [**38,500,000**](https://www.samhsa.gov/data/sites/default/files/NSDUH-2025-Annual-Release/2025-nsduh-nnr-highlights.pdf) - **Did not receive treatment, but sought treatment:** [**0.5%**](https://www.samhsa.gov/data/sites/default/files/NSDUH-2025-Annual-Release/2025-nsduh-nnr-highlights.pdf), which is about [**187,000**](https://www.samhsa.gov/data/sites/default/files/NSDUH-2025-Annual-Release/2025-nsduh-nnr-highlights.pdf) adults - **Believed they should have received treatment, but didn’t seek it:** [**5.0%**](https://www.samhsa.gov/data/sites/default/files/NSDUH-2025-Annual-Release/2025-nsduh-nnr-highlights.pdf), or about [**1,900,000**](https://www.samhsa.gov/data/sites/default/files/NSDUH-2025-Annual-Release/2025-nsduh-nnr-highlights.pdf) adults - **That have ever had a problem with drugs or alcohol:** [**30,600,000**](https://www.samhsa.gov/data/sites/default/files/NSDUH-2025-Annual-Release/2025-nsduh-nnr-highlights.pdf) - **Feel they are recovering from drug/alcohol problem:** [**73.0%**](https://www.samhsa.gov/data/sites/default/files/NSDUH-2025-Annual-Release/2025-nsduh-nnr-highlights.pdf), which equals [**22,300,000**](https://www.samhsa.gov/data/sites/default/files/NSDUH-2025-Annual-Release/2025-nsduh-nnr-highlights.pdf) **The gap is mostly perceived need, not waiting lists: fewer than 200,000 untreated adults actually looked for treatment.** Rates for substance use disorder have gone down, there was a decrease of people that had an SUD from [**16.7%**](https://www.samhsa.gov/data/sites/default/files/NSDUH-2025-Annual-Release/2025-nsduh-nnr-highlights.pdf) to [**15.3%**](https://www.samhsa.gov/data/sites/default/files/NSDUH-2025-Annual-Release/2025-nsduh-nnr-highlights.pdf) for people aged 12 or older, between the 2021 and 2025 surveys. [![Bar chart showing the share of people who needed substance use treatment and received it, by age group: 22.8 percent of adolescents, 9.6 percent of young adults, 17.1 percent of adults 26 or older, and 16.0 percent overall.](https://leadtorecovery.com/wp-content/uploads/us-substance-use-treatment-received-by-age.webp "5")](https://leadtorecovery.com/wp-content/uploads/us-substance-use-treatment-received-by-age.webp "us-substance-use-treatment-received-by-age") ## How Many People Work in the Rehab Field? [**533,400**](https://www.bls.gov/ooh/community-and-social-service/substance-abuse-behavioral-disorder-and-mental-health-counselors.htm) jobs are held by substance abuse, behavioral disorder, and mental health counselors, with a median salary of [**$59,350**](https://www.bls.gov/ooh/community-and-social-service/substance-abuse-behavioral-disorder-and-mental-health-counselors.htm), according to the Bureau of Labor Statistics. In the information provided by the Bureau of Labor Statistics, addiction counselors are grouped with Mental Health Counselors. Here is some additional information that may pertain to working in the field: - **Employment is projected to grow by:** [**18%**](https://www.bls.gov/ooh/community-and-social-service/substance-abuse-behavioral-disorder-and-mental-health-counselors.htm) over the next decade, compared to [**3%**](https://www.bls.gov/ooh/community-and-social-service/substance-abuse-behavioral-disorder-and-mental-health-counselors.htm) for all occupations - **Projected employment growth, number of jobs:** [**98,000**](https://www.bls.gov/ooh/community-and-social-service/substance-abuse-behavioral-disorder-and-mental-health-counselors.htm) - **Projected Openings Per Year:** [**50,500**](https://www.bls.gov/ooh/community-and-social-service/substance-abuse-behavioral-disorder-and-mental-health-counselors.htm), includes replacement openings - **The Bottom 10% Make Less Than:** [**$38,940**](https://www.bls.gov/ooh/community-and-social-service/substance-abuse-behavioral-disorder-and-mental-health-counselors.htm) - **Top 10% Make More Than:** [**$97,590**](https://www.bls.gov/ooh/community-and-social-service/substance-abuse-behavioral-disorder-and-mental-health-counselors.htm) - **Median Salary for ALL Occupations:** [**$50,980**](https://www.bls.gov/ooh/community-and-social-service/substance-abuse-behavioral-disorder-and-mental-health-counselors.htm) ### What Industries Hire Counselors? According to BLS, Residential Mental Health and Substance Abuse Facilities pay their counselors the least out of these industries, at only [**$49,660**](https://www.bls.gov/ooh/community-and-social-service/substance-abuse-behavioral-disorder-and-mental-health-counselors.htm) a year. Industry% of EmploymentAnnual WageSource (date)Offices of Other Health Practitioners[20%](https://www.bls.gov/ooh/community-and-social-service/substance-abuse-behavioral-disorder-and-mental-health-counselors.htm)[$58,240](https://www.bls.gov/ooh/community-and-social-service/substance-abuse-behavioral-disorder-and-mental-health-counselors.htm)BLS OOH (2025 data)Outpatient Mental Health & Substance Abuse Centers[16%](https://www.bls.gov/ooh/community-and-social-service/substance-abuse-behavioral-disorder-and-mental-health-counselors.htm)[$58,750](https://www.bls.gov/ooh/community-and-social-service/substance-abuse-behavioral-disorder-and-mental-health-counselors.htm)BLS OOH (2025 data)Individual & Family Services[15%](https://www.bls.gov/ooh/community-and-social-service/substance-abuse-behavioral-disorder-and-mental-health-counselors.htm)[$58,440](https://www.bls.gov/ooh/community-and-social-service/substance-abuse-behavioral-disorder-and-mental-health-counselors.htm)BLS OOH (2025 data)Residential Mental Health & Substance Abuse Facilities[8%](https://www.bls.gov/ooh/community-and-social-service/substance-abuse-behavioral-disorder-and-mental-health-counselors.htm)[$49,660](https://www.bls.gov/ooh/community-and-social-service/substance-abuse-behavioral-disorder-and-mental-health-counselors.htm)BLS OOH (2025 data)Hospitals, State, Local, Private[7%](https://www.bls.gov/ooh/community-and-social-service/substance-abuse-behavioral-disorder-and-mental-health-counselors.htm)[$63,310](https://www.bls.gov/ooh/community-and-social-service/substance-abuse-behavioral-disorder-and-mental-health-counselors.htm)BLS OOH (2025 data) It’s interesting to note that of the five industries, hospitals have the lowest employment but highest wages. [![Horizontal bar chart of median annual pay for substance abuse, behavioral disorder, and mental health counselors by industry, from hospitals at 63,310 dollars to residential facilities at 49,660 dollars, with the all-industry median of 59,350 dollars as a benchmark.](https://leadtorecovery.com/wp-content/uploads/us-addiction-counselor-median-pay-by-industry.webp "6")](https://leadtorecovery.com/wp-content/uploads/us-addiction-counselor-median-pay-by-industry.webp "us-addiction-counselor-median-pay-by-industry") ## How Many Overdose Deaths Are There in the US? According to the CDC, there are predicted to be [**67,798**](https://www.cdc.gov/media/releases/2026/cdc-launches-new-overdose-prevention-data-channel.html) overdose deaths in the United States over the latest 12-month period, which is a [**12.3%**](https://www.cdc.gov/media/releases/2026/cdc-launches-new-overdose-prevention-data-channel.html) decrease from the previous year. These are considered provisional death counts, the CDC releases both a reported count and projected count that will be adjusted for deaths still under investigation. This is updated on a monthly basis, 4 months behind. With more facilities providing Medication Assisted Treatment, there may be a decline in overdose deaths. We can’t say if one caused the other. Remember, this will fluctuate every month, any citations should mention the 12 month period it covers. ## Rehab Industry Statistics FAQs ### What Are Considered Rehab Centers? SAMHSA collects data from facilities that provide Substance Use Treatment, these can range from outpatient facilities to hospitals. There is no separate federal count of ‘rehabs’, because SAMHSA counts every facility that provides substance use treatment, whatever its setting. ### How Much Revenue Does the Rehab Industry Produce? Currently there is no data from a federal statistical agency that would give us this answer. Some private companies that sell research will have this. ### How Much Does It Cost to Go to Rehab? SAMHSA’s facility survey does not collect prices. Our [rehab cost study](https://leadtorecovery.com/how-much-does-rehab-cost/) compiles what payers report: Peterson-KFF found that residential treatment facility stays for substance use cost large employer plans an average of [$21,900](https://www.healthsystemtracker.org/brief/cost-and-utilization-of-inpatient-mental-health-and-substance-use-treatment/) in 2023. The payment section above shows which forms of payment facilities accept. ## Conclusion As you can see, the rehab industry is much bigger than you may think, it can consist of Outpatient, Residential and Inpatient facilities. Many of these are privately owned and the employment outlook looks good for those in this career path. There is still more to learn, but these statistics should give you an idea of the size of this industry, and what steps we can take to increase treatment rates. ## Turn Rehab Industry Data Into Qualified Calls There are [17,829](https://www.samhsa.gov/data/sites/default/files/reports/rpt56696/2024-nsumhss-annual-report.pdf) eligible substance use treatment facilities in the US, and they compete for the same searches. Lead to Recovery builds the SEO, PPC and call tracking that turn those searches into qualified calls for your admissions team. Book a strategy call or call 855-876-7238. [Book a Strategy Call](https://leadtorecovery.com/quote/) [Call 855-876-7238](tel:8558767238)